【摘要】 目的　探讨早期直肠癌局部切除术的临床应用价值。方法　分析本组 87例早期直肠癌患者分别行局部切除 (5 6例 )或根治术 (31例 )的疗效 (5年及 10年生存率 ) ,并观察两种术式的术后并发症的出现率。结果　行局部切除术患者的 5年、10年生存率分别为 94 6 %和 89 3%;而行根治术患者的 5年、10年生存率分别为 96 8%和 93 5 %。两种术式的 5年和 10年生存率比较 ,差异无显著性 (χ2 =0 0 0 6 ,P >0 0 5 ;χ2 =0 0 74,P >0 0 5 )。且局部切除术的术后并发症的发生率 (3 5 7%)明显低于根治术 (2 5 8%,χ2 =7 6 3,P <0 0 5 )。结论　对早期直肠癌行局部切除术 ,方法简单易行 ,术后并发症少 ,能提高患者术后生存质量。更多还原

【Abstract】 Objective To evaluate local resection for the treatment of early rectal cancer in terms of long survival.[WT5”HZ] Methods 87 cases of early rectal cancer underwent local resection (56 cases) or radical resection (31 cases). Long term survival and postoperative complications were compared with each other. Results The 5 and 10 years′ survival rate were 94 6% and 89 3% for local resection and 96 8% and 93 5% for radical operation, respectively. The differences were not statistically significant (χ 2=0 006, P >0 05; χ 2=0 074, P >0 05). The postoperative complication developed in 3 57% for local resection, which was statistically lower than that for radical operation of 25 8% (χ 2=7 63, P <0 05). [Conclusions The local resection in early rectal cancer is simple and easy to perform, with a long term survival comparable to radical resection and much lower postoperative morbidity.更多还原